Kathan Modi, APN - Medicare Nurse Practitioner in Edison, NJ

Kathan Modi, APN is a medicare enrolled "Nurse Practitioner - Family" in Edison, New Jersey. He went to Rutgers New Jersey Medical School and graduated in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Villagehealth Dm Llc, Villagehealth Dm Llc and his current practice location is 138 Winthrop Rd, Edison, New Jersey. You can reach out to his office (for appointments etc.) via phone at (848) 248-0214.

Kathan Modi is licensed to practice in New Jersey (license number 26NJ00959800) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1710537634.

Contact Information

Kathan Modi, APN
138 Winthrop Rd,
Edison, NJ 08817-3834
(848) 248-0214
Not Available

Map and Direction




Provider's Profile

Full NameKathan Modi
GenderMale
SpecialityNurse Practitioner
Experience5 Years
Location138 Winthrop Rd, Edison, New Jersey
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kathan Modi attended and graduated from Rutgers New Jersey Medical School in 2019
  NPI Data:
  • NPI Number: 1710537634
  • Provider Enumeration Date: 09/12/2019
  • Last Update Date: 09/12/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 8729417340
  • Enrollment ID: I20200402002737

Medical Identifiers

Medical identifiers for Kathan Modi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710537634NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP2300XNurse Practitioner - Primary Care 26NJ00959800 (New Jersey)Secondary
363LF0000XNurse Practitioner - Family 26NJ00959800 (New Jersey)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Villagehealth Dm Llc2769812445119
Villagehealth Dm Llc2769812445119

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kathan Modi allows following entities to bill medicare on his behalf.
Entity NamePractice Associates Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427016385
PECOS PAC ID: 5890703177
Enrollment ID: O20060330000690
Entity NameVillagehealth Dm Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598273211
PECOS PAC ID: 2769812445
Enrollment ID: O20200429001438

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kathan Modi is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kathan Modi, APN
138 Winthrop Rd,
Edison, NJ 08817-3834

Ph: (848) 248-0214
Kathan Modi, APN
138 Winthrop Rd,
Edison, NJ 08817-3834

Ph: (848) 248-0214

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.